Peterson, Kristin

Peterson, Kristin is an individual health care provider with primary practice located at 3205 N Academy Blvd Suite 100, Colorado Springs CO 80917-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Kristin can be contacted via phone (719) 632-5700.

Contact Information

Primary practice address
3205 N Academy Blvd Suite 100 Colorado Springs CO 80917-5101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1148 Colorado

Profile Details

NPI number 1699747295
LBN Legal business name Peterson, Kristin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699747295 NPPES
Colorado MEDICAID 55431763

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